DR. JESSE III ANDERSON (DPM) – Podiatrist, NPI 1770583080

DR. JESSE III ANDERSON (DPM) is a healthcare provider. based in Suffolk, Virginia. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 0103000709 (VA). The NPI Number for DR. JESSE III ANDERSON (DPM) is 1770583080

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. JESSE III ANDERSON (DPM)
NPI
1770583080
Phone
(757) 625-2962
Address
2401 GODWIN BLVD STE 1
Enumeration Date
28 July 2005
Last Update Date
2 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7575392098
Graduation Year
1984 (42 years ago)
PAC ID
6103039466
Professional Enrollment ID
I20110413000317
Address ID
VA234348178SU2401XBLVD304
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

433 PODIATRY in VA

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Provider Addresses for DR. JESSE III ANDERSON (DPM)

  • Godwin Boulevard, Suffolk, Suffolk (city), Virginia, United States

    SUFFOLK, VA 234348178

    Phone: (757) 625-2962

    Fax: (757) 627-9861

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $88.

Total Amount is formed as General ($88) + Research ($0) + Ownership ($0) = $88.

Last reported payment date: 2024-09-16 • Largest payer in this snapshot: Stryker Corporation ($58).

Total Amount

$88

General + Research + Ownership

Payments

3

Total payment records

General Amount

$88

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-04-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110413000317IPodiatryVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11721Removal of fingernails or toenails, 6 or more nails477172$0
99212Established patient office or other outpatient visit, 10-19 minutes14181$0
99213Established patient office or other outpatient visit, 20-29 minutes12788$0
99203New patient office or other outpatient visit, 30-44 minutes9898$0
99214Established patient office or other outpatient visit, 30-39 minutes8683$0
View full utilization report →

Insurance plans in this area (ZIP 23434)

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Provider's Procedures

DR. JESSE III ANDERSON (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYVA11056Removal of 2 to 4 thickened skin growths8927
PODIATRYVA73630X-ray of foot, minimum of 3 views1212

Reviews

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Frequently asked questions

Does DR. JESSE III ANDERSON (DPM) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. JESSE III ANDERSON (DPM) uses 1770583080.
Can I rely on DR. JESSE III ANDERSON (DPM) being an active provider?
As of the registry snapshot, DR. JESSE III ANDERSON (DPM) is marked active.
What healthcare role does DR. JESSE III ANDERSON (DPM) hold?
Scheduling teams often label DR. JESSE III ANDERSON (DPM) under Podiatrist. Clinical services aligned with this taxonomy classification.
Where is DR. JESSE III ANDERSON (DPM) based?
DR. JESSE III ANDERSON (DPM) is tied to Suffolk, Virginia in the data we show; additional addresses may exist on the full record.
Is the information about DR. JESSE III ANDERSON (DPM) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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